| NPI | 1235874744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA HARTMANN Credentialing Coordinator 970-402-6042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2022-04-29 |